文章基本信息

标题：Postoperative Lymphorrhagia- a Possible Complication Following Cephalic Duodenopancreatectomy
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作者：Adrian Tudor ; Marian Botoncea ; Cedric Kwizera 等
期刊名称：Acta Medica Marisiensis
电子版ISSN：2247-6113
出版年度：2019
卷号：65
期号：3
页码：121-122
DOI：10.2478/amma-2019-0013
出版社：Walter de Gruyter GmbH
摘要：Surgery associated with lymphadenectomy may sometimes result in a lymphorrhagia, which usually resolves spontaneously within a few days, sometimes becoming a refractory complication to the treatment. In the case of large flows, particular attention should be paid to hydro-electrolytic and protein losses. We present the case of a patient with persistent lymphorrhagia after a cephalic duodenopancreatectomy for a pancreatic head tumor. From the 5th postoperative day, the patient had a milky-like secretion on the subhepatic drainage tube. The discharge rate was variable, between 500 and 1500 ml per day, requiring parenteral administration of amino acids, plasma and electrolyte solutions. The postoperative progression was slowly favorable, with the patient discharge on the 25th day following surgery. There are several treatment options for a lymphorrhagia following an extended lymphadenectomy, from intensive parenteral therapy to peritoneal-venous shunt or ligation of the lymphatic vessel responsible for the production of lymphorrhagia. In this case the conservative treatment had a favorable result..
关键词：lymphorrhagia ; cephalic duodenopancreatectomy ; rare complication